Can Ovarian Cysts Go Away on Their Own? What Doctors Want You to Know

When we talk about ovarian cysts, the questions that come to mind are: Is it serious? Will it affect my fertility? Is it a cancer?

The truth behind this is that Ovarian cysts can be harmless and go away on their own. In very few cases, it needs surgery or medical attention. These are fluid-filled sacs in the ovaries, and some of them carry tissue inside them. The size of these cysts is cherry-sized and surrounded by a capsule. It is estimated that about 10 out of 100 women have ovarian cysts. They are usually non-cancerous (benign) and rarely cause problems, so they generally don’t need to be treated. Surgery is only very rarely needed.

When our patients develop ovarian cysts, Dr. Nisha Bhatnagar takes the time to explain what it means, what to expect, and how to proceed. In this blog, we’re discussing one of the most common questions we hear about ovarian cysts: Will they go away on their own?

Symptoms

In many cases, there are no symptoms that are seen with ovarian cysts, but some common symptoms that could be seen are-

  • Mild abdominal ache.
  • Abdominal swelling or a feeling of fullness or pressure.
  • Pain during sexual intercourse.
  • Menstrual irregularities include absence of menstrual bleeding (amenorrhea), heavy bleeding (menorrhagia), and painful periods (dysmenorrhea). Menstrual cycle problems occur if the cyst produces sex hormones that cause the lining of the womb to grow more.
  • Unusual hair growth on the face and body caused by an increased production of masculinizing hormones (hirsutism).
  • Sudden, sharp abdominal pain, fever, and nausea may occur if a cyst becomes twisted or ruptures.

Moreover,  it is rare that ovarian cysts prove to be painful as cysts press against the bladder, and something it lead to frequent urination. If you are struggling or facing such issues due to ovarian cysts, you need to call a gynecologist. Moreover, if you have been diagnosed with ovarian cysts or experience any sharp abdominal pain, vomiting, or fever, you must see a doctor immediately.

Causes of Ovarian Cysts

The leading cause of ovarian cysts is Ovulation, as it is a natural process that takes place during your menstrual cycle. These are known as functional cysts, which may develop in one ovary or in both ovaries at the same time. Various other causes include-

Endometriosis– It generally occurs on your ovaries if you have advanced endometriosis. These are filled with dark, thick blood. They can develop as a result of endometriosis.

Abnormal cell reproductionthe reproduction of unusual cells causes dermoid cysts or cystadenomas to form.

Polycystic ovary syndrome (PCOS)- PCOS can cause multiple small cysts to form on your ovaries.

Pelvic inflammatory disease (PID)Severe pelvic infections can spread to your ovaries, causing cysts.

Diagnosis of Ovarian Cysts

It is necessary to conduct a Gynecological examination to diagnose an ovarian cyst. If a lump or mass in the ovary is detected, it is necessary to rule out the possibility of ovarian cancer.

  • Pelvic exam: A first step where your doctor gently feels for any swelling or tenderness around your ovaries.
  • Ultrasound (abdominal or vaginal): The most common and reliable test. An ovarian cyst ultrasound reveals whether the cyst is filled with fluid, solid tissue, or a combination of both, which are important details for planning next steps.
  • Blood tests: Sometimes done to check hormone levels or look for markers (like CA-125) if there’s concern about a more serious cyst.
  • Other scans (MRI/CT): Rarely needed, but can give extra clarity if an ultrasound doesn’t tell the full story.
  • Diagnostic laparoscopy: In some cases, a tiny camera is inserted through a small cut in the abdomen to see the cyst directly, and even remove it if needed.

When Treatment Becomes Necessary

Watchful waiting suits most cases, but doctors intervene if cysts grow large, persist beyond a few cycles, or raise cancer concerns, especially postmenopause. Options include cystectomy to remove the cyst while preserving the ovary or, rarely, oophorectomy.​​

Hormonal birth control may prevent new functional cysts, though it doesn’t shrink existing ones. Surgery addresses symptomatic or suspicious cysts, prioritizing fertility preservation when possible.​​

What Patients Should Ask Doctors

Clarify cyst type, size, and expected timeline for resolution during consultations. Inquire about fertility impacts, especially for reproductive-age women, and monitoring frequency.​​

Discuss rupture risks, pain management, and surgical thresholds to alleviate anxiety. Open dialogue ensures personalized care aligned with health goals.​​

Ovarian cysts affect around 10% of women and rarely pose long-term threats when managed properly

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